HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: ll�_II1I(�lUl
BY
St. Lucie County
e
RECEIVED
Building Permit Application
Planning and Development Services SFP 241019
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _-i'_ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Arlrlrpcc- %/.r_I�Y
Legal Description:
Property Tax ID
Site Plan Name:
Project Name:
i?7-4/&X( i'.rAr2n /roil t" /ov H A,. i., _n. ✓
Lot No.
Block No.
Setbacks Front Back Right Side: Left Side: �' 0
DETAILED DESCRIPTION OF WORK:--,
SHvr7zvS
"CONSTRUCTIONINFORMATION:'
L"._IHVAC LJ Gas Tank UGa:
11 Electric 0 Plumbing ❑Spi
Total Sq. Ft of Construction:
Cost of Construction: $ Z7oo —
Piping "Shutters
ars "Generator
S Ft. of First Floor: _
Utilities: Sewer 0Septic
Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE:'
'CONTRACTOR:
Name N
Name: MICHAEL GOODWIN
Address: S 0L0tI DS 1W q
Company: JENSEN BEACH ALUMINUM
City: Tora� State: FL—
i
Zip Code: 3 W Fax:
Phone No. 365-� fo
Address: 1720 NW FEDERAL HWY,A!
City: STUART H State: FL
Zip Code: 34994 Fa : 692-9744
Phone No. 692-0090
\
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
it vame or conscrucuon is>csuu or more, a ictcoxutD Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
V�awivon/ uvauvicen: _ tvoc Hppncaole MORTGAGE COMPANY: _ Not Applicable
Name: rly wn4 4�'o^oieNr &116( t2zt!/Lb Name:
Address: S71yo 1W4n/A1c71ST // 0 Address:
City: Stater_ City: State:
Zip: Phone( $( Y Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pool , f nces, walls, signs, screen rooms and accessory uses to another non- sidential use
WARNING TO OWNER: our i re to Record a Notice of Commencement may result in yo paying twice for
improve s to your r Notice of Commencement must ecorded and ted on the jobsite
befor a fi sjlnspe f intend to obtain financing, con t w: h lende}�or attorney before
co encl .Bork c vour Notice of Commenrpmpn _ 7
as Agent
STATE OF FLORID STATE OF FLORI
COUNTY OF ath COUNTY OF �t
The forgoing instr ent as ac now�(edg d before me
this day off. 20?- by
Mcha .,P boa n
(Name of person acknowledging)
(51gnatureldt Notary Public- Statdof Florida )
Personally Known OR Produced Identification
Type of Identificati n Produced
Commission No. Ga3,V9-9 (Seal)
Revised07/15/2014 ,,yv hr NotaryPublicState ofPloiida
+Y�AngelaStaples
x My commiaew GG 235102
The forgoing instru�g nt was ack owledgeddbefore me
this/�q
day of JP z0 L by
M i ch&o_, &Dodu,, n
(Name of person acknowledging )
—A " I"
(Sig at re otary`Pu/bfic- State f Florida )
Personally Known 1[� OR Produced Identification
Type of Identificationion Produced
Commission No. >71t�'!7351 _ (Seal)
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